精英运动员的大动脉维度:更新的系统性审查和元分析
Andreina Carbone1,2, Emanuele Monda3, Francesco Ferrara4
1Department of Public Health, University of Naples "Federico II", Naples, Italy.
European journal of preventive cardiology
|November 26, 2024
概括
精英运动员表现出稍大的大动脉鼻直径,但根据身体表面积的正常化显示与非运动员相比没有显著差异. 在运动员中适当评估大动脉大小需要适当的正常化,以防止误诊.
科学领域:
- 心血管生理学心血管生理学
- 运动医学 运动医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 精英运动员经常在心血管结构中表现出生理适应.
- 了解运动员的大动脉重塑对于区分训练效应与病理学至关重要.
研究的目的:
- 为了研究精英运动员的大动脉重塑.
- 为了比较精英运动员和健康的非运动员对照者之间的大动脉直径.
主要方法:
- 1981年至2024年间发表的研究的系统综述和元分析.
- 包括21项研究,包括9464名精英运动员和2637名非运动员对照.
- 随机效应模型用于数据聚合和回声心脏学大动脉直径的分析.
主要成果:
- 瓦萨尔瓦绝对大动脉鼻 (AoSV) 的直径在精英运动员中显著更大 (MD 1.69 mm).
- 当AoSV与高度 (AoSV/h) 进行索引时,这种差异仍然存在.
- 无论性别,运动类型或年龄,在群体之间没有观察到指数为身体表面积的AoSV (AoSV/BSA) 的显著差异.
结论:
- 精英运动员的绝对大动脉大小略大一些,但当适当正常化时,这并不表明病理.
- 通过身体表面积来规范大动脉尺寸对于精英运动员的准确评估至关重要.
- 正确的正常化可以防止在运动群体中误诊大动脉病变.
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